Individual
MR. BOBY ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23111 LAHSER ROAD, WALGREENS, SOUTHFIELD, MI 48034
(248) 945-9216
Mailing address
1075 BEAVER RUN, TROY, MI 48083-5458
(586) 588-7724
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302036880
MI
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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